Buchhammer, Matthew

Buchhammer, Matthew is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Buchhammer, Matthew can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Fax: (307) 358-5329
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Wyoming
Behavioral Health & Social Service Providers / Counselor 101Y00000X PPC-878 Wyoming

Profile Details

NPI number 1679976054
LBN Legal business name Buchhammer, Matthew
Credentials MA, PPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Feb 5th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679976054 NPPES
Wyoming MEDICAID 106402908
Wyoming MEDICAID 106402907

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